Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.69 / $69.69 / $102.17	Facility		$69.69	$69.69	$102.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $102.17 / $229.95	Professional		$62.31	$102.17	$229.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $156.50 / $175.00	Professional		$99.73	$156.50	$175.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.79 / $131.90 / $206.65	Professional		$71.79	$131.90	$206.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $126.00 / $126.00	Facility		$126.00	$126.00	$126.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $205.04 / $270.33	Professional		$101.67	$205.04	$270.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.69 / $122.64 / $232.87	Facility		$69.69	$122.64	$232.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.12 / $208.63 / $685.73	Professional		$126.12	$208.63	$685.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.27 / $205.12 / $270.33	Facility		$98.27	$205.12	$270.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $101.88 / $164.10 / $257.18	Professional		$101.88	$164.10	$257.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $178.34 / $225.60	Professional		$119.83	$178.34	$225.60
United Facility/Professional Professional Modifier Low / Median / High Price $126.12 / $204.95 / $280.66	Professional		$126.12	$204.95	$280.66